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Organization

BARKS AND REC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LEANNA ROCHELEAU (OWNER)
(614) 571-1778
Entity
Organization

Contact information

Practice address
1010 W 5TH AVE, COLUMBUS, OH 43212-2636
(614) 725-1475
Mailing address
1010 W 5TH AVE, COLUMBUS, OH 43212-2636
(614) 725-1475

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261QA0600X
Adult Day Care Clinic/Center
343900000X
Non-emergency Medical Transport (VAN)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0364570
OH
Enumeration date
02/03/2021
Last updated
02/03/2021
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